Caldwell, Bryan Dewitt

Caldwell, Bryan Dewitt is an individual health care provider with primary practice located at 4415 Euclid Ave Ste 110 , Cleveland OH 44103-3759. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Caldwell, Bryan Dewitt can be contacted via phone (216) 231-5612.

Contact Information

Primary practice address
4415 Euclid Ave Ste 110 Cleveland OH 44103-3759
Phone: (216) 231-5612
Fax: (216) 721-5534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36 002681 Ohio

Profile Details

NPI number 1366448680
LBN Legal business name Caldwell, Bryan Dewitt
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Feb 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366448680 NPPES
Ohio MEDICAID 0982227
Ohio Other 1563848
Ohio Other CH5179
Ohio Other 480031311

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